• 제목/요약/키워드: Musculoskeletal diseases'

검색결과 431건 처리시간 0.022초

Medical Managements of Musculoskeletal Diseases in Shipbuilding Industry

  • Kim, Jong-Eun;Kim, Young-Ki;Kang, Dong-Mug
    • 대한인간공학회지
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    • 제31권1호
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    • pp.157-163
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    • 2012
  • Objective: This study is to understand medical management method in shipbuilding industry. Background: In shipbuilding industry, medical management for prevention of work-related musculoskeletal diseases due to limitations of engineering measures may be important measure. Results: Medical management of musculoskeletal diseases can be divided into primary, secondary, tertiary preventions. Primary preventions consist of symptom survey, appropriate work placement with work capacity evaluation, health promotion. Second preventions are early detection of symptomatic patient and appropriate treatment. Tertiary preventions are rehabilitation treatment and early return-to-work by return-to-work evaluation. In addition, patients with psychological counseling for emotional problems are needed. Conclusion: Medical management measures such as improving the work environment to be made are expected to exert greater effects.

근골격계 질환의 의학적 접근 (Medical Approach of Work-related Musculoskeletal Diseases)

  • 홍정연;구정완
    • 대한인간공학회지
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    • 제29권4호
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    • pp.473-478
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    • 2010
  • For the medical approaches of work-related musculoskeletal diseases, it is important to consider occupational relatedness and occupational fitness. Clinical approach includes physical examination, radiologic tests and other related tests and we should choose proper management which is suitable to workers' status for the prevention of early disease's progression and later disabilities. Also, it suggests that occupational prevention program consultation for work-related musculoskeletal diseases considering workers' variable circumstances should be done via occupational relatedness and occupational fitness.

강원도 일부지역 외식업 조리사들의 작업관련성 근골격계 질환과 스트레스 정도 (Occupational Musculoskeletal Disease and Stress Levels of Restaurant Cooks in Gangwon Province)

  • 이정실;김영수
    • 한국조리학회지
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    • 제23권2호
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    • pp.1-10
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    • 2017
  • The aim of this survey is to investigate the occupational musculoskeletal disease and stress levels of restaurant cooks and to provide a basic data of programs in order to prevent occupational diseases. A questionnaire survey was conducted on 220 subjects in Gangwon province. The results show that there was no significant difference in the degree of occupational musculoskeletal disease between male cooks and female cooks. However, western cuisine cooks were more likely to have a higher degree of occupational musculoskeletal disease than other cuisine cooks and showed a higher degree of occupational stress from work overload as well as irregular meal stresses. Cooks aged from 30 to 40 years showed a higher level of occupational musculoskeletal disease in the neck, shoulder, and hand/wrist compared to those in other age groups. The job tenure was related to the degree of musculoskeletal disease in knee. Additionally, the hours of working per day were statistically significantly related to musculoskeletal disease in the knee and to the occupational stress levels in irregular meals stress. The findings of this study suggest that it is essential to design customized education for cooks to lessen their occupational musculoskeletal diseases and stresses in order to ensure the health and safety of the culinary workers.

중국과 국내에서의 약침 관련 임상논문 비교 연구 - 근골격계 및 신경계 질환을 위주로 - (A Comparative Study of Clinical Papers about Pharmacopuncture in Korea and China - Focusing on Papers about Musculoskeletal and Nervous Diseases -)

  • 이한길;홍서영
    • 한방재활의학과학회지
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    • 제19권3호
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    • pp.47-67
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    • 2009
  • Objectives : To research the trend of the study related to pharmacopuncture about musculoskeletal and nervous diseases in China and to make a comparison with clinical application on pharmacopuncture about musculoskeletal and nervous diseases in China and Korea. Methods : I reviewed and analyzed four Chinese Journals relating pharmacopucture from 2004 to 2008 and two Korean Journals relating pharmacopuncture from 1999 to 2008. Results : The following results were obtained in this study. 1. The pharmacopuncture was often used for diseases of spines and joints. 2. In the medicine of pharmacopuncture, Salviae Miltiorrhizae Radix, Angelicae Gigantis Radix were mainly used in China, and Bee-venom in Korea. 3. As a method of needling, local acupoint and Ashi-point were mainly ueed in both China and Korea. 4. In combined treatments, acupuncture, electronic acupuncture, Chuna, heating acupuncture were mainly used in China, and acupuncture, herb medicine, physiotherapy in Korea. 5. In the case of control group study, compared with other treatments pharmacopuncture was not verified the superiority of effectiveness in China, but in Korea, the effectiveness of a pharmacopuncture could be compared with that of others and the effectivenss of different pharmacopuncture could be compared. Conclusions : As seen above, in Korea, clinician should carry out clinical application about musculoskeletal and nervous diseases with various herbal injections besides Bee-venom. And I think that it will be starting point to use Salviae Miltiorrhizae Radix and Angelicae Gigantis Radix that were often used in China.

Moire 영상을 이용한 근골격계 질환의 한의학적 진단에 관한 연구 (A Study on Oriental Medical Diagnosis of Musculoskeletal Disorders using Moire Image)

  • 이은경;유승현;이수경;강성호;한종민;정명수;천은주;송용선;이기남
    • 대한예방한의학회지
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    • 제4권2호
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    • pp.72-92
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    • 2000
  • This research has conducted studies on an Oriental medicine-based method of diagnosing of occupational musculoskeletal system diseases. This researcher has searched through existing relevant medical literature. Also, this researcher has worked on a moire topography using moire topography. In this course, this researcher has reached the following conclusion in relation to the possibility of using a moire topography as a diagnosing device of musculoskeletal system diseases under Oriental medicine . 1 The Western medicine outlines its criteria of screening occupational musculoskeletal system diseases as follows A. The occupational musculoskeletal diseases must clearly include one or more of the subjective symptoms characterized by pain, hypoesthesia dysaesthesia, anaesthesia. etc . B, There should be clinically admitted objective observations and diagnosis outlining that the disease concerned shows symptoms such as tenderness, induration. and edema that can appear with occupational musculoskeletal system diseases. dyscinesia should be admitted with the disease concerned, or there should be observations and diagnosis outlining that abnormality exists in electric muscular or nervous diagnosis and examination . C. It should be admitted that prior to the occurrence of symptoms or observations and diagnosis on musculoskeletal system-related diseases, a patient has been engaged in works with conditions requiring improper work posture or work movement. That is, this is an approach whereby they see abnormality in the musculoskeletal system come from material and structural defect, and adjust and control abnormality in the musculoskeletal system and secreta . 2. The Oriental medicines sees that a patient develops the pain of occupational musculoskeletal diseases as he cannot properly activate the flow of his life force and blood thus not only causing formation of lumps in the body and blocking the flow of life force and blood in some parts of the body. Hence, The Oriental medicine focuses on resolving the cause of weakening the flow of life force and blood, instead of taking material approach of correcting structural abnormality Furthermore , Oriental medicine sees that when muscle tension builds up, this presses blood vessels and nerves passing by, triggering circulation dyscrasia and neurological reaction and thus leading to lesion. Thus, instead of taking skeletal or neurophysiological approach. it seeks to fundamentally resolve the cause of the flow of the life force and blood in muscles not being activated. As a result Oriental medicine attributes the main cause of musculoskeletal system diseases to muscle tension and its build-up that stem from an individual's long formed chronicle habit and work environment. This approach considers not only the social structure aspect including companies owners and work environment that the existing methods have looked at, but also individual workers' responsibility and their environmental factors. Hence, this is a step forward method. 3 The diagnosis of musculoskeletal diseases under Oriental medicine is characterized by the fact that an Oriental medicine doctor uses not only photos taken by himself, but also various detection devices to gather information and pass comprehensive judgment on it. Thus, it is the core of diagnosis under Oriental medicine to develop diagnosing devices matching the characteristics of information to be induced and to interpret information so induced from the views of Oriental medicine. Diagnosis using diagnosing devices values the whole state of a patient and formal abnormality alike, and the whole balance and muscular state of a patient serves as the basis of diagnosis. Hence, this method, instead of depending on the information gathered from devices under Western medicine, requires devices that provide information on the whole state of a patient in addition to the local abnormality information that X-ray. CT, etc., can offer. This method sees muscle as the central part of the abnormality in the musculoskeletal system and thus requires diagnosing devices enabling the muscular state. 4. The diagnosing device using moire topography under Oriental medicine has advantages below and can be used for diagnosing musculoskeletal system diseases with industrial workers . First, the device can Provide information on the body in an unbalanced state. and thus identify the imbalance and difference of height in the left and right stature that a patient can not notice at normal times. Second, the device shows the twisting of muscles or induration regions in a contour map. This is not possible with existing shooting machines such as X-ray, CT, etc., thus differentiating itself from existing machines. Third, this device makes it possible for Oriental medicine to take its unique approach to the abnormality in the musculoskeletal system. Oriental medicine sees the state and imbalance state in muscles as major factors in determining the lesion of musculoskeletal system, and the device makes it possible to shoot the state of muscles in detail. In this respect, the device is significant. Fourth, the device has an advantage as non-aggression diagnosing device.

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동의보감(東醫寶鑑) 중(中) 이묘산(二妙散)이 활용(活用)된 연계방(連繫方)에 대한 고찰(考察) (A Study on Analysis of the Pathology and Basic Prescriptions of Yiemyo-San in DONGYEUBOGAM)

  • 윤현자
    • 대한한의학방제학회지
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    • 제19권1호
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    • pp.23-34
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    • 2011
  • Objectives : Yiemyo-San(二妙散) is a basic oriental medicinal prescription used in basically musculoskeletal pain. Way down to posterity, Yiemyo-San has been combined with various prescriptions to treat a variety of diseases. the purpose of In this study is to investigate indications and etiology of indication using Yiemyo-San. Methodes : For prescriptions combining Yiemyo-San in Dongyeubogam(東醫寶鑑), the name of prescriptions, configuration herbs and indication were investigated and prescriptions were classified according to etiology of indication. Results : the numbers of prescriptions combining Yiemyo-San in Dongyeubogam were 45. Yiemyo-San was used frequently in musculoskeletal disease such as beriberi, amyotrophy, gout and arthritis(36%). In addition, it was applied to an internal diseases, ENT diseases and headache. it was used frequently in pathological condition due to supyeol(濕熱)(45%). Yiemyo-San was combined with various prescriptions as a primary prescription at 51% and as a secondary prescription at 49%. Conclusions : When Yiemyo-San is combined with other prescription, it may be used in various disease as well as musculoskeletal disease due to supyeol. combined with various prescriptions as a primary prescription at 51% and as a secondary prescription at 49%. Conclusions : When Yiemyo-San is combined with other prescription, it may be used in various disease as well as musculoskeletal disease due to supyeol.

119구급대원 구급활동에 따른 근골격계 질환 연구 (Musculoskeletal Diseases in 119 Rescuers)

  • 신동민;홍은정;김경용;김지희;문태영
    • 디지털융복합연구
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    • 제11권9호
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    • pp.209-219
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    • 2013
  • 본 연구의 목적은 119구급대원의 근골격계 질환에 대하여 파악하고자 함이다. 119구급대원의 근골격계 질환을 조사하기 위해 경기도에 소재하고 있는 소방서 119구급대원 485명을 대상으로 설문조사를 하였으며 빈도분석, 교차분석을 실시하고 chi-square검정, 상관관계를 실시하였다. 결과는 다음과 같다. 119구급대원들의 일반적 업무에 대하여 부담을 갖고 있으며, 그러한 업무 부담이 근골격계 질환에 영향을 미치는 것으로 나타나 전체 대상자의 67.6%가 근골격계 질환이 있다고 하였다. 여성 구급대원이 남성 구급대원보다 더 높은 유병률을 보였으며, 기혼자가 미혼자에 비하여 유병률이 더 높았고, 가사노동시간이 3시간 이상 하는 경우에 유병률이 높았으며, 소방대원으로 근무한 경력이나 구급대원으로 근무한 경력이 길수록 증상이 더 나타났다. 또한, 근골격계 증상이 나타나는 부위로는 허리(36.4%), 어깨(19.2%), 목(14.9%), 다리/발(13.2%), 손/손목/손가락(12.0%), 팔/팔꿈치(4.3%) 순으로 나타났다.

History of Research on Pharmacopuncture in Korea

  • Lee, Kwang-Ho;Cho, Yoon-Young;Kim, Sungchul;Sun, Seung-Ho
    • 대한약침학회지
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    • 제19권2호
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    • pp.101-108
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    • 2016
  • Objectives: This study introduces the history and types of Korean pharmacopuncture and reports trends of research on Korean pharmacopuncture. Methods: Pharmacopuncture studies were searched from the first year of each search engine to 2014 by using seven domestic and foreign search databases. Selected studies were divided into the history of pharmacopuncture, kinds and features of pharmacopuncture, research types, and experimental and clinic studies and were then classified by year of publication, type of pharmacopuncture, disease, and topic. Results: Pharmacopuncture can be classified into four large groups: meridian field pharmacopuncture (MFP), eight-principles pharmacopuncture (EPP), animal-based pharmacopuncture (ABP) and mountain-ginseng pharmacopuncture, which is a single-compound pharmacopuncture (SCP). The largest numbers of studies were reported from 1997 to 2006, after which the numbers decreased until 2014. Of experimental studies, 51.9%, 18.7%. 14.3%, 9% and 3.4% were on SCP, ABP, MFP, formula pharmacopuncture (FP), and EPP, respectively. Of clinical studies, 54.7%, 15.3%. 14.9% 10.0% and 1.5% were on ABP, MFP, EPP, SCP, and FP (1.5%), respectively. Among clinical studies, case reports and case series accounted for 76.5%, followed by randomized controlled trials (RCTs, 16.4%) and non-RCT (13.9%). Musculoskeletal diseases, toxicity and safety tests, anti-cancer effects, and nervous system diseases were mainly treated in experimental studies while musculoskeletal diseases, nervous system diseases, toxicity and safety tests, and autonomic nerve function tests were addressed in clinical studies. Bee venom (BV) was the most frequently-used pharmacopuncture in mechanism studies. Pharmacopuncture was mainly used to treat musculoskeletal diseases. Conclusion: Pharmacopuncture and studies of it have made great progress in Korea. Studies on BV pharmacopuncture and musculoskeletal diseases accounted for most of the studies reported during the review period. Research on the types of pharmacopuncture and diseases has to be expanded. Especially, studies on the use of MFP and EPP for treating patients with various diseases are needed.

Occupational Diseases Among Office Workers and Prevention Strategies

  • Lee, Jongin;Koo, Jung-Wan
    • 대한인간공학회지
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    • 제34권2호
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    • pp.125-134
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    • 2015
  • Objective: In this review we discuss the health effects among office workers. Background: Even if office workers are not exposed hazardous or harmful environment frequently, some problems could be happened to the office workers. Although serious occupational diseases rarely occur to the office workers, it is important to consider occupational risk factors for the office worker because the portion of the office workers is relatively high in all industries. Method: We divided possible health effects for the office workers into three categories; musculoskeletal disorders, indoor environment, and cerebro-cardiovascular diseases. We reviewed related articles, textbooks, and statistical materials non-systematically and described risk factors, related illnesses, and prevention strategies on each category. Results: Office workers have various musculoskeletal disorders to be intervened. By medical treatment, improving working environment, and ergonomic intervention, office workers can be prevented from musculoskeletal injuries. Poor indoor environment can cause many building-related illnesses or sick building syndrome. Although the etiology of some problems by poor indoor environment is not clear, it helps to maintain adequate humidity, temperature, and clarity of indoor air. Cerebro-cardiovascular diseases are a rising issue because office workers in Korea tend to work for a lot of time. To prevent the diseases, it is needed to work for adequate time, lengthen activity level, and manage other medical risk factors for the diseases. Conclusion: There is no distinct occupational disease for office workers. However, there are some aspects to consider the health effects of office workers and it is important to prevent the possible health problems. Application: A strategy against occupational diseases among office workers can be established by reviewing this article.

Characteristics and Influencing Factors on Recuperators with Work-related Musculoskeletal Disorders

  • Kim, Kyoo-Sang;Jeon, Hee-Gyeong;Kim, Day-Sung
    • 대한인간공학회지
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    • 제31권5호
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    • pp.671-685
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    • 2012
  • Objective: This study aims to investigate subjects in recuperation to identify the following factors with regard to work-related musculoskeletal diseases: diagnosis in the context of occupational and environmental medicine; assessment systems for judging work-relatedness; recuperation management; workplace management; prevention programs; and care after returning to work. This study intends to analyze differences between subjects and determine what characteristics of subjects account for the differences. Method: A survey was administered to 1,664 workers who were approved by the Korea Worker's Compensation & Welfare Service between 2003 and 2005 for recuperation due to work-related musculoskeletal diseases. The data of 229 subjects who responded the survey questionnaire related to recuperation were analysed. Results: According to the results, demographic, occupational, and musculoskeletal disease-related factors were significant. The demographic factors included gender, age, marital status, and region, while occupational factors included working period, work type, size of workplace, and industry type. The factors related to musculoskeletal diseases were the part of the body in pain, the tissues in pain, and the existence of dysfunction. The above factors were associated with statistically significant differences in the following areas: revealed symptom period, symptoms-diagnosis period, and application for recuperation approval periods; diagnosis and care institutes for recuperarion; the state of patients (body parts in pain, tissues in pain, and existence of dysfunction); return to work; and care after returning to work. Conclusion: The results of this study can serve as basic data in setting priorities for prevention programs for work-related musculoskeletal diseases and selecting target groups.